Preface |
|
ix | |
|
|
xi | |
Introduction to Perioperative Echocardiography |
|
1 | (30) |
|
Chapter 1 Preoperative Evaluation of the Heart Surgery Patient |
|
|
31 | (10) |
|
Heart Surgery Patients and Consent |
|
|
31 | (1) |
|
Cardiac Surgery and Gender |
|
|
32 | (1) |
|
Coronary Stents or Coronary Artery Bypass? |
|
|
33 | (1) |
|
|
34 | (3) |
|
|
37 | (2) |
|
Preoperative Red Flags and What (if Anything) to do About Them |
|
|
39 | (2) |
|
Chapter 2 Hemodynamics and Cardiac Anesthesia |
|
|
41 | (29) |
|
Hemodynamic Calculations and Invasive Monitors: Why Are They Important and How to Determine Them? |
|
|
41 | (12) |
|
The Pumping Heart: How Does the Pump Contract and Relax? |
|
|
53 | (6) |
|
Pharmacology and Hemodynamics: An Introduction |
|
|
59 | (3) |
|
TEE and Hemodynamic Instability: How TEE Advances the Diagnosis of Hypotension? |
|
|
62 | (4) |
|
Avoiding Hemodynamic Collapse: A Case Illustration |
|
|
66 | (4) |
|
Chapter 3 Perioperative Rhythm Abnormalities |
|
|
70 | (12) |
|
|
70 | (1) |
|
|
71 | (1) |
|
|
72 | (3) |
|
|
75 | (2) |
|
Supraventricular Tachycardias |
|
|
77 | (2) |
|
Ventricular Tachycardia and Fibrillation |
|
|
79 | (1) |
|
|
80 | (1) |
|
|
80 | (2) |
|
Chapter 4 Routine Cardiac Surgery and Anesthesia |
|
|
82 | (15) |
|
Immediate Preoperative Assessment and Antibiotic Prophylaxis |
|
|
83 | (1) |
|
Monitoring and Vascular Access |
|
|
84 | (1) |
|
Anesthetic Induction and Maintenance |
|
|
85 | (3) |
|
Institution of Cardiopulmonary Bypass |
|
|
88 | (1) |
|
|
89 | (4) |
|
Sternal Closure and Patient Transport |
|
|
93 | (1) |
|
Commonly Used Vasoactive Drugs in the Cardiac Surgery Patient |
|
|
93 | (1) |
|
|
94 | (1) |
|
|
95 | (2) |
|
Chapter 5 The Complicated Patient for Cardiac Anesthesia and Surgery |
|
|
97 | (22) |
|
The Patient With Impaired Systolic and Diastolic Ventricular Function |
|
|
97 | (15) |
|
|
112 | (1) |
|
The Diabetic Patient and Perioperative Glucose Control |
|
|
113 | (1) |
|
The Vascular Disease Patient in Need of Cardiac Surgery |
|
|
114 | (1) |
|
The Renal Failure Patient and Cardiac Surgery |
|
|
115 | (4) |
|
Chapter 6 Aortic Valve Disease |
|
|
119 | (17) |
|
The Clinical Signs and Symptoms of AV Disease |
|
|
120 | (3) |
|
Physiologic Compensatory Mechanisms of AV Disease |
|
|
123 | (1) |
|
Echocardiography and AV Disease |
|
|
124 | (6) |
|
Surgical and Catheter-Mediated AV Replacement |
|
|
130 | (2) |
|
Anesthetic Implications of AV Disease |
|
|
132 | (2) |
|
Clinical Scenario: The Patient With Mixed AS/AR and the Emergency Institution of CPB |
|
|
134 | (2) |
|
Chapter 7 Mitral Valve Disease |
|
|
136 | (19) |
|
The Clinical Signs and Symptoms of MV Diseases |
|
|
137 | (2) |
|
Physiologic Compensatory Mechanisms of MV Diseases |
|
|
139 | (2) |
|
Echocardiography and MV Diseases |
|
|
141 | (8) |
|
Surgical and Catheter-Mediated Approaches to the Repair/Replacement of the MV |
|
|
149 | (1) |
|
Surgical Approaches to the Management of Atrial Fibrillation |
|
|
150 | (1) |
|
Anesthetic Implications of MV Diseases |
|
|
151 | (2) |
|
|
153 | (2) |
|
Chapter 8 Right Heart Valves and Function |
|
|
155 | (7) |
|
The Clinical Signs and Symptoms of TV Diseases |
|
|
155 | (1) |
|
|
156 | (1) |
|
|
157 | (1) |
|
Echocardiography of Right Heart Structures and Right Ventricular Function |
|
|
157 | (3) |
|
Surgical Approaches to TV Diseases |
|
|
160 | (1) |
|
Anesthetic Implications of TV Diseases, Pulmonary Hypertension, and RV Failure |
|
|
160 | (1) |
|
Case Scenario: The Patient With Endocarditis |
|
|
160 | (2) |
|
Chapter 9 Anesthesia for Repair of Diseases of Thoracic Aorta |
|
|
162 | (13) |
|
Diseases of the Ascending Thoracic Aorta |
|
|
163 | (2) |
|
Diseases of the Descending Thoracic Aorta |
|
|
165 | (1) |
|
Anesthetic Management of the Patient With Disease of the Thoracic Aorta |
|
|
166 | (2) |
|
Distal Aortic Perfusion and Spinal Cord Protection During Descending Thoracic Aneurysm Resection |
|
|
168 | (3) |
|
Deep Hypothermic Circulatory Arrest |
|
|
171 | (1) |
|
Echocardiography in the Management of Thoracic Aortic Diseases |
|
|
171 | (1) |
|
|
172 | (3) |
|
Chapter 10 Hypertrophic Obstructive Cardiomyopathy and Cardiac Masses |
|
|
175 | (11) |
|
Signs, Symptoms, and Diagnosis of HCM |
|
|
176 | (2) |
|
|
178 | (1) |
|
|
179 | (1) |
|
Dynamic Obstruction of the LVOT |
|
|
180 | (1) |
|
Anesthetic Management of the HCM Patient for Noncardiac Surgery |
|
|
180 | (1) |
|
Anesthetic Management for Surgical Repair of HCM |
|
|
181 | (1) |
|
The Surgical Approach to HCM Repair |
|
|
182 | (2) |
|
|
184 | (1) |
|
Case Scenario: 22-Year-Old Man With Sudden Cardiac Death |
|
|
185 | (1) |
|
Chapter 11 Ventricular Assist Devices and Heart Transplantation |
|
|
186 | (12) |
|
Intra-Aortic Balloon Counterpulsation and the Heart Surgery Patient |
|
|
187 | (1) |
|
Ventricular Assist Devices: Designs and Indications |
|
|
188 | (1) |
|
|
189 | (3) |
|
|
192 | (1) |
|
Anesthetic Management of VADs |
|
|
193 | (1) |
|
|
194 | (1) |
|
|
195 | (1) |
|
|
196 | (2) |
|
Chapter 12 Anesthesia for Patients With Congenital Heart Disease |
|
|
198 | (31) |
|
|
199 | (3) |
|
Ventricular Septal Defects |
|
|
202 | (4) |
|
|
206 | (5) |
|
Transposition of the Great Arteries |
|
|
211 | (5) |
|
Single Ventricle Patients |
|
|
216 | (7) |
|
Anesthesia for Noncardiac Surgery in Adults With Congenital Heart Disease |
|
|
223 | (3) |
|
Cardiac Surgery and Pregnancy |
|
|
226 | (1) |
|
|
227 | (2) |
|
Chapter 13 Off-Pump, Robotic, and Minimally Invasive Heart Surgery |
|
|
229 | (8) |
|
Minimally Invasive Surgical Approaches |
|
|
229 | (3) |
|
Anesthetic Challenges for Off-Pump and Minimally Invasive Surgery |
|
|
232 | (2) |
|
Is Off-Pump Surgery Better Than On-Pump Surgery? |
|
|
234 | (1) |
|
|
235 | (2) |
|
Chapter 14 The Postoperative Care of the Cardiac Surgery Patient |
|
|
237 | (14) |
|
Routine Transport and Report |
|
|
238 | (1) |
|
Inflammation and the Cardiac Surgery Patient |
|
|
239 | (1) |
|
Genetic Associations and Cardiac Surgery Outcomes |
|
|
240 | (1) |
|
Perioperative Neurologic Injury |
|
|
241 | (2) |
|
|
243 | (1) |
|
|
244 | (1) |
|
|
245 | (2) |
|
Analgesia, Electrolytes, Glucose |
|
|
247 | (1) |
|
Echocardiography in the ICU |
|
|
247 | (4) |
|
Chapter 15 Anesthesia in the Electrophysiology and Catheterization Laboratories |
|
|
251 | (14) |
|
Electrophysiology and Other Catheter-Based Procedures Overview |
|
|
251 | (2) |
|
|
253 | (3) |
|
Anesthetic Management of EP Procedures |
|
|
256 | (3) |
|
Risks and Complications of out-of-the-OR Cardiac Procedures |
|
|
259 | (6) |
|
Chapter 16 Coagulopathy, Bleeding, and Cardiac Anesthesia Emergencies |
|
|
265 | (12) |
|
Hemostasis and Cardiac Surgery |
|
|
265 | (4) |
|
Prevention of Blood Loss During Cardiac Surgery |
|
|
269 | (1) |
|
|
269 | (1) |
|
Outcomes Following Transfusion |
|
|
270 | (1) |
|
Massive Transfusion and Cardiac Trauma |
|
|
271 | (2) |
|
Options for Patients Who Refuse Blood Product Administration |
|
|
273 | (1) |
|
The Emergency Patient From the Cardiac Catheterization Laboratory |
|
|
273 | (1) |
|
|
274 | (3) |
|
Chapter 17 Cardiopulmonary Bypass |
|
|
277 | (14) |
|
|
278 | (1) |
|
|
278 | (3) |
|
|
281 | (2) |
|
|
283 | (1) |
|
|
284 | (1) |
|
|
285 | (1) |
|
|
286 | (2) |
|
Systemic Inflammation and CPB |
|
|
288 | (1) |
|
|
288 | (3) |
|
Chapter 18 Postoperative Analgesia for Cardiac Surgery |
|
|
291 | (12) |
|
What are the Systemic Implications of Pain in the Cardiac Surgery Patient? |
|
|
292 | (1) |
|
What Modalities are Available to Treat Postoperative Pain? |
|
|
293 | (10) |
Index |
|
303 | |